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CURSO de Fotografía Mutual Ampara
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Email
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NOMBRE COMPLETO (nombre y apellido)
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SOCIO DE AMPARA
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Sí
No
Si eres SOCIO (tú número), sino la X
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DNI (Documento Nacional de Identidad) SIN PUNTOS
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Teléfono celular ( sin 0 / sin 15 )
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Domicilio (calle y número)
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Ciudad y Provincia
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